<span><b>Introduction:</b> Dangerous behavior is considered an undesired trait, often attributed to poor training or bad-tempered horses. Un
Introduction:Â Dangerous behavior is considered an undesired trait, often attributed to poor training or bad-tempered horses. Unfortunately, horses with progressive signs of dangerous behavior are often euthanized due to concerns for rider safety and limitations in performance. However, this dangerous behavior may actually originate from chronic axial skeleton pain. This case series describes the medical histories and clinical presentations of horses presented for performance limitations and dangerous behavior judged to be related to intractable axial skeleton pain.
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Fourteen horses that developed severe performance limitations resulting in euthanasia were included. A complete spinal examination and behavioral responses, gait and neurologic evaluations, diagnostic imaging, gross pathologic and histopathologic examinations of the axial skeleton were performed on all horses. A tentative diagnosis of the affected spinal region was formulated using medical records, owner and trainer complaints, and antemortem examination findings.
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Ten horses showed severe behavioral responses during the myofascial and mobilization examinations. Based on an aggregate evaluation, the cervicothoracic and lumbosacral regions were the most common regions believed to be the primary area of concern. All horses had moderate to severe ganglionitis present at multiple vertebral levels. Subdural and epidural hemorrhage or hematomas were a common finding (71%) in the cervicothoracic and lumbosacral regions.
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The mean age was 9.4 Âą 2.6 years and included eleven geldings and three mares. The breeds included eight warmbloods, four Thoroughbreds, one Quarter Horse, and one Andalusian. Eight of the horses were used for dressage, four for eventing, one for show hunting, and one for barrel racing. The owners' chief complaint and reports of dangerous behavior were recorded. In 12 horses, the time from purchase to euthanasia was 2.5 Âą 1.8 years. The other two horses were raised by their owner, and the time from initial complaint to euthanasia was less well-defined.Â
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Neuropathic pain syndromes appeared to be behind the dangerous behaviors in the horses included in the study.













